NPI 1255287421 · live from the CMS NPI Registry
Azuree Aesthetics & Skin Care Specialists, LLC
Dermatology in Winter Haven, FL. National Provider Identifier 1255287421, active.
NPI record
| NPI | 1255287421 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 304 3rd St Sw Ste 3, Winter Haven, FL 33880 |
| Practice phone | 863-529-6899 |
| Enumerated | March 9, 2026 |
| Last updated | March 9, 2026 |
| Authorized official | Melinda Short-Russell, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.